Inkqubo elula, kwi-ofisi inokuthi ichaneke njenge-MRI
Ukulimala kwamathambo kunokwenzeka nakweyiphi na isibalo sezizathu , kubangela intlungu kunye nokuvuvukala okunokuphazamisa ukuhamba, ukusebenzisa, okanye ukwenza imisebenzi yemihla ngemihla. Ukutyhilela ingxaki kunokuba nzima. Kwiimeko ezininzi, kulula ukuyichaza xa kwenzeka intlungu - umzekelo, xa uhamba ngamanyathelo okanye usebenza-kunokuba kwenzeka ntoni emadolweni.
Enye yezinto eziqhelekileyo zokulimala ngamadolo zazibandakanya ukubethelwa kwe-cartilage yangaphakathi ejikeleze idibeneyo. Kulo hlobo lwesimo, ukuxilongwa kungenziwa kube lula ngokukwenza oko sikubiza ngokuba nguvavanyo lukaMcMurray.
Uvavanyo lukaMcMurray lusitshela
Uvavanyo lukaMcMurray (olubizwa nangokuthi uvavanyo lukaMcMurray) luyasetyenziswa ukufumanisa iinyembezi zangaphakathi emadolweni. Yinkqubo apho amadolo ajikelezwa khona ukuze achonge apho iinyembezi kwi-cartilage (ebizwa ngokuba yi- meniscus ) inokwenzeka okanye yenzeke.
I-meniscus eqhekekileyo yingozi eyingozi ebangelwa ukuguquka ngamandla kwamadolo ngexesha lezemidlalo, xa kuqhutywe, okanye ngexesha lokuwa okanye ukungahambi kakuhle.
Nangona abantu abaninzi becinga ukuba i- MRI (i-magnetic imaging resonance) ifuna ukuyihlola iyakuba yinqanaba lokuqala ekuhloliseni lolu hlobo lokulimala, uvavanyo lukaMcMurray kaninzi lubonelela ukubonelela ngokucacileyo.
Uvavanyo lweMcMurray lwenziwa njani
Uvavanyo lukaMcMurray lwenziwe kwiofisi yegqirha kunye nesigulane esingagqithwanga kwiingubo zakhe zangaphantsi.
Emva kokungagqitywanga, loo mntu uya kucelwa ukuba alala phantsi etafileni yokuhlola.
Inkqubo ngokwayo ibandakanya ngamanyathelo amabini, ngale ndlela:
- Ugqirha ugxile emadolweni ngakwesinye icala kunye nenye inyawo kwelinye.
- Amadolo aphethwe ngokuzeleyo aze atyathelwe ngaphandle angene "kwindawo edibanayo".
- Okwangoku, ugqirha uya kuqala ukujikeleza unyawo ngaphakathi xa ephakamisa idolo.
- Nayiphi na intlungu okanye "ukuchofoza" isebenza njengesifo sokuxilongwa ngokukhawuleza kwenkqonkqoza ye-meniscus.
Isiqingatha sesibini semvavanyo senza okufanayo:
- Ugqirha ugxile emadolweni ngakwesinye icala kunye nenye inyawo kwelinye.
- Amadolo agqityiwe kwaye atyathelwa ngaphandle eweni "kwindawo ephethe umlenze".
- Ugqirha uya kuqala ukujikeleza unyawo ngaphandle xa ephakamisa idolo.
- Nayiphi na intlungu okanye "ukuchofoza" kusebenza njengesifo sokuxilongwa ngokukhawuleza kweemali ze-meniscus.
Uvavanyo lubhekwa luncedo xa ucofa unqabile kwi-meniscus njengoko idolo lithathwa kwi- flexion epheleleyo (igobile ngokupheleleyo) ukuya kuma-degree angama-90.
Iingenelelo kunye neziNzuzo zovavanyo lweMcMurray
Uvavanyo lwe-McNurrary luncedo kakhulu ekufumaneni iinyembezi kwimiba engemva (emuva) emadolweni. Ngezinye iinyembezi eziphambili zifunyanwe ngolu hlobo.
Ngokwahlukileyo, iinyembezi zangaphambili (phambi kwegolo) azifumaneki lula kwaye zifuna i-MRI okanye uphando lwe-arthroscopic ukumbonisa umonakalo.
Ngokubanzi, uvavanyo lukaMcMurray luboniswe ukuba lube ne-78.5 yeepesenti ecacileyo (ipesenteji yeziphumo ngokuchanekileyo) kwaye u-79.7 weepesenti (u-percentage of results correctly) ekufumaneni iinyembezi ezingekho emthethweni. I-MRI, ngokuchaseneyo, yayineenkcukacha ezicacileyo ezingama-85.7 zepesenti kunye nobuzwe be-78.3 ekhulwini.
> Umthombo:
> Rinonapoli, G .; I-Carraro, A .; kunye noDelcogliano, A. "Ukuxilongwa kwekliniki yokudabuka kwamadoda akulula. Ukuthenjwa kweemvavanyo ezimbini zezilwanyana kunye nokucatshulwa kwamagnetic." Int J Immunopathol Pharmacol. 2011; 24 (1 iSiza 2): 39-44.